Individual provider Active NPI

Carolyn Sponberg Bagchi, AU.D.

  • Audiologist
  • Houston, TX
National Provider Identifier
1881945731
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
80492 Issued in TX
Practice address
4191 Bellaire Blvd Ste 200
Houston, TX 77025-1003
Phone
(713) 790-1272
NPI assigned
Oct 1, 2012
Last updated
Jun 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 80492 TX Primary
Audiologist-Hearing Aid Fitter 237600000X 80492 TX

Addresses

Primary practice location

4191 Bellaire Blvd Ste 200
Houston, TX 77025-1003

Mailing address

4191 Bellaire Blvd Ste 200
Houston, TX 77025-1003
Phone (713) 790-1272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121016000345 TX Practitioner - Qualified Audiologist 7810147584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Mississippi School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

4191 Bellaire Blvd
Suite 200
Houston, TX 77025-1016
Phone (346) 356-7000

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80492TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Feb 5, 2024 Accepting new patients
Weber, Moses, Hung & Powitzky LLP CurrentSince Jan 22, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Feb 5, 2024 Accepting new patients
Houston Methodist Specialty Physicians Audiologist CurrentSince Jan 1, 2026 Accepting new patients
Rosewood ENT, LLP Past Accepting new patients
Houston Methodist Past Accepting new patients

Locations

4191 Bellaire Blvd
Ste 200
Houston, TX 77025
Phone (713) 790-1272

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

6624 Fannin St
Ste 1480
Houston, TX 77030
Phone (713) 790-1272

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1881945731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 BELLAIRE BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251003",
            "telephone_number": "713-790-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 BELLAIRE BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251003",
            "telephone_number": "713-790-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGCHI",
        "first_name": "CAROLYN",
        "middle_name": "SPONBERG",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80492",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "80492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.